Electrophysiologic Effects of Surgical Isolation of the Right Ventricle

Surgical isolation of the entire right ventricular free-wall was performed in ten dogs to evaluate the effects of the procedure on a variety of electrophysiologic measurements. Complete surgical isolation of the right ventricle was confirmed by determining that right ventricular electrical activity...

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Veröffentlicht in:The Annals of thoracic surgery 1986-07, Vol.42 (1), p.65-69
Hauptverfasser: Damiano, Ralph J., Asano, Tetsuo, Smith, Peter K., Ferguson, T. Bruce, Douglas, James M., Cox, James L.
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container_end_page 69
container_issue 1
container_start_page 65
container_title The Annals of thoracic surgery
container_volume 42
creator Damiano, Ralph J.
Asano, Tetsuo
Smith, Peter K.
Ferguson, T. Bruce
Douglas, James M.
Cox, James L.
description Surgical isolation of the entire right ventricular free-wall was performed in ten dogs to evaluate the effects of the procedure on a variety of electrophysiologic measurements. Complete surgical isolation of the right ventricle was confirmed by determining that right ventricular electrical activity was not conducted to the remainder of the heart and that electrical activity in the atria or left ventricle did not conduct to the right ventricle. Right ventricular isolation caused no change in right ventricular or left ventricular pacing thresholds, in effective refractory periods of the right ventricle or left ventricle, or in right ventricular free-wall conduction time. Moreover, the normal conduction time from the right atrium to the left ventricle was 139 ± 5 msec (mean ± standard error) preoperatively and 135 ± 5 msec postoperatively ( p is not significant), showing that atrial-to-left ventricular synchrony was unaltered by isolation of the right ventricle. However, following isolation, the right ventricle could not be electrically fibrillated in 9 of 10 animals, a finding that may have important implications in the future development of surgical procedures to control chronic, life-threatening ventricular tachyarrhythmias.
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Animals
Biological and medical sciences
Cardiopulmonary Bypass
Disease Models, Animal
Dogs
Electrocardiography
Electrophysiology
Evaluation Studies as Topic
Heart Ventricles - physiopathology
Heart Ventricles - surgery
Medical sciences
Methods
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Tachycardia - surgery
title Electrophysiologic Effects of Surgical Isolation of the Right Ventricle
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